Individual
MRS. ANITA CORRALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
2100 YUCCA ST, SANTA FE, NM 87505-5456
(505) 467-2463
Mailing address
PO BOX 24342, SANTA FE, NM 87502-9342
(505) 467-2463
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
80400
NM
Other
Enumeration date
04/27/2017
Last updated
04/27/2017
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